Infant milk-feeding practices and cardiovascular disease outcomes in offspring

a systematic review

Darcy Güngör, Perrine Nadaud, Concetta C. LaPergola, Carol Dreibelbis, Yat Ping Wong, Nancy Terry, Steven Abrams, Leila Beker, Tova Jacobovits, Kirsi M. Järvinen, Laurie A. Nommsen-Rivers, Kimberly O. O'Brien, Emily Oken, Rafael Pérez-Escamilla, Ekhard E. Ziegler, Joanne M. Spahn

Research output: Contribution to journalArticle

Abstract

BACKGROUND: During the Pregnancy and Birth to 24 Months Project, the US Departments of Agriculture and Health and Human Services initiated a review of evidence on diet and health in these populations. OBJECTIVES: The aim of these systematic reviews was to examine the relation of 1) never versus ever feeding human milk, 2) shorter versus longer durations of any human milk feeding, 3) shorter versus longer durations of exclusive human milk feeding, and 4) lower versus higher intensities of human milk fed to mixed-fed infants with intermediate and endpoint cardiovascular disease (CVD) outcomes in offspring. METHODS: The Nutrition Evidence Systematic Review team conducted systematic reviews with external experts. We searched CINAHL, Cochrane, Embase, and PubMed for articles published January 1980-March 2016, dual-screened the results using predetermined criteria, extracted data from and assessed the risk of bias for each included study, qualitatively synthesized the evidence, developed conclusion statements, and graded the strength of the evidence. RESULTS: The 4 systematic reviews included 13, 24, 6, and 0 articles, respectively. The evidence was insufficient to draw conclusions about endpoint CVD outcomes across all 4 systematic reviews. Limited evidence suggests that never versus ever being fed human milk is associated with higher blood pressure within a normal range at 6-7 y of age. Moderate evidence suggests there is no association between the duration of any human milk feeding and childhood blood pressure. Limited evidence suggests there is no association between the duration of exclusive human milk feeding and blood pressure or metabolic syndrome in childhood. Additional evidence about intermediate outcomes for the 4 systematic reviews was scant or inconclusive. CONCLUSIONS: There is insufficient evidence to draw conclusions about the relationships between infant milk-feeding practices and endpoint CVD outcomes; however, some evidence suggests that feeding less or no human milk is not associated with childhood hypertension.

Original languageEnglish (US)
Pages (from-to)800S-816S
JournalThe American journal of clinical nutrition
Volume109
Issue number7
DOIs
StatePublished - Mar 1 2019

Fingerprint

Human Milk
Milk
Cardiovascular Diseases
United States Dept. of Health and Human Services
Blood Pressure
Hypertension
PubMed
Reference Values
Parturition
Diet
Pregnancy
Health
Population

Keywords

  • blood pressure
  • breastfeeding
  • cardiovascular disease
  • cholesterol
  • human milk
  • hypertension
  • infant nutrition
  • metabolic syndrome
  • systematic review

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Güngör, D., Nadaud, P., LaPergola, C. C., Dreibelbis, C., Wong, Y. P., Terry, N., ... Spahn, J. M. (2019). Infant milk-feeding practices and cardiovascular disease outcomes in offspring: a systematic review. The American journal of clinical nutrition, 109(7), 800S-816S. https://doi.org/10.1093/ajcn/nqy332

Infant milk-feeding practices and cardiovascular disease outcomes in offspring : a systematic review. / Güngör, Darcy; Nadaud, Perrine; LaPergola, Concetta C.; Dreibelbis, Carol; Wong, Yat Ping; Terry, Nancy; Abrams, Steven; Beker, Leila; Jacobovits, Tova; Järvinen, Kirsi M.; Nommsen-Rivers, Laurie A.; O'Brien, Kimberly O.; Oken, Emily; Pérez-Escamilla, Rafael; Ziegler, Ekhard E.; Spahn, Joanne M.

In: The American journal of clinical nutrition, Vol. 109, No. 7, 01.03.2019, p. 800S-816S.

Research output: Contribution to journalArticle

Güngör, D, Nadaud, P, LaPergola, CC, Dreibelbis, C, Wong, YP, Terry, N, Abrams, S, Beker, L, Jacobovits, T, Järvinen, KM, Nommsen-Rivers, LA, O'Brien, KO, Oken, E, Pérez-Escamilla, R, Ziegler, EE & Spahn, JM 2019, 'Infant milk-feeding practices and cardiovascular disease outcomes in offspring: a systematic review', The American journal of clinical nutrition, vol. 109, no. 7, pp. 800S-816S. https://doi.org/10.1093/ajcn/nqy332
Güngör, Darcy ; Nadaud, Perrine ; LaPergola, Concetta C. ; Dreibelbis, Carol ; Wong, Yat Ping ; Terry, Nancy ; Abrams, Steven ; Beker, Leila ; Jacobovits, Tova ; Järvinen, Kirsi M. ; Nommsen-Rivers, Laurie A. ; O'Brien, Kimberly O. ; Oken, Emily ; Pérez-Escamilla, Rafael ; Ziegler, Ekhard E. ; Spahn, Joanne M. / Infant milk-feeding practices and cardiovascular disease outcomes in offspring : a systematic review. In: The American journal of clinical nutrition. 2019 ; Vol. 109, No. 7. pp. 800S-816S.
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